NPI 1013779669 · live from the CMS NPI Registry
A Balanced Act, Llp
Nurse Practitioner, Family in Greenville, UT. National Provider Identifier 1013779669, active.
NPI record
| NPI | 1013779669 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 579 W 900 S, Greenville, UT 84731 |
| Practice phone | 208-220-9649 |
| Mailing address | Hc 74 Box 4111, Greenville, UT 84731 |
| Enumerated | January 29, 2024 |
| Last updated | January 29, 2024 |
| Authorized official | Francine Clegg, Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.